ATI RN MATERNAL NEWBORN PRACTICE 209 A
2026 HIGH PROBABILITY EXAM QUESTIONS
◉ A nurse is caring for a client who is at 22 weeks of gestation and is
HIV positive. Which of the following actions should the nurse take?.
Answer: Report the client's condition to the local health department
◉ A nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. Which of the
following findings should the nurse include as an adverse effect of
this medication?
1) depression
2) polyuria
3) hypotension
4) urticaria. Answer: Depression
◉ A nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of the
following instructions should the nurse include in the teaching?
1) "I can administer oxytocin 4 hours after the insertion of the
medication"
,2) "you will need a full bladder prior to the insertion of the
medication"
3) "remain in a side-lying position for 15 minutes after medication is
given"
4) "an antacid will be given 20 minutes prior to the insertion of the
medication". Answer: "I can administer oxytocin 4 hours after the
insertion of the medication"
◉ A nurse is caring for a prenatal client who has parvovirus B19
(fifth disease). Which of the following actions should the nurse take?
1) administer antiviral medication
2) schedule an ultrasound
3) administer flu type b vaccine
4) schedule an indirect Coomb's test. Answer: Schedule an
ultrasound examination
◉ A nurse is preparing to collect a blood specimen from a newborn
via a heel stick. Which of the following techniques should the nurse
use to help minimize the pain of the procedure for the newborn?
1) apply a cool pack for 10 minutes to the heel prior to the puncture
2) request IM analgesic
3) use a manual lance blade to pierce the skin
, 4) place the newborn skin to skin on the mothers chest. Answer:
Place the newborn skin to skin on the mothers chest
◉ A nurse is performing a vaginal exam on a client who is in labor
and observes the umbilical cord protruding from the vagina. After
calling for assistance, which of the following actions should the
nurse take?
1) Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part
2) wrap the cord tightly with sterile gauze
3) apply O2 at 2L via nasal cannula
4) place the client in the lithotomy position and apply fundal
pressure. Answer: Insert two gloved fingers into the vagina and
apply upward pressure to the presenting part
◉ A nurse is caring for a client who is at 24 weeks of gestation and
has a suspected placental abruption. Which of the following
laboratory tests should the nurse expect the provider to prescribe?
1) Kleihauer-Betke test
2) progesterone serum level
3) L/S ratio
4) material alpha-fetoprotein. Answer: Kleihauer-Betke test
2026 HIGH PROBABILITY EXAM QUESTIONS
◉ A nurse is caring for a client who is at 22 weeks of gestation and is
HIV positive. Which of the following actions should the nurse take?.
Answer: Report the client's condition to the local health department
◉ A nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. Which of the
following findings should the nurse include as an adverse effect of
this medication?
1) depression
2) polyuria
3) hypotension
4) urticaria. Answer: Depression
◉ A nurse is providing teaching to a client who is at 40 weeks of
gestation and has a new prescription for misoprostol. Which of the
following instructions should the nurse include in the teaching?
1) "I can administer oxytocin 4 hours after the insertion of the
medication"
,2) "you will need a full bladder prior to the insertion of the
medication"
3) "remain in a side-lying position for 15 minutes after medication is
given"
4) "an antacid will be given 20 minutes prior to the insertion of the
medication". Answer: "I can administer oxytocin 4 hours after the
insertion of the medication"
◉ A nurse is caring for a prenatal client who has parvovirus B19
(fifth disease). Which of the following actions should the nurse take?
1) administer antiviral medication
2) schedule an ultrasound
3) administer flu type b vaccine
4) schedule an indirect Coomb's test. Answer: Schedule an
ultrasound examination
◉ A nurse is preparing to collect a blood specimen from a newborn
via a heel stick. Which of the following techniques should the nurse
use to help minimize the pain of the procedure for the newborn?
1) apply a cool pack for 10 minutes to the heel prior to the puncture
2) request IM analgesic
3) use a manual lance blade to pierce the skin
, 4) place the newborn skin to skin on the mothers chest. Answer:
Place the newborn skin to skin on the mothers chest
◉ A nurse is performing a vaginal exam on a client who is in labor
and observes the umbilical cord protruding from the vagina. After
calling for assistance, which of the following actions should the
nurse take?
1) Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part
2) wrap the cord tightly with sterile gauze
3) apply O2 at 2L via nasal cannula
4) place the client in the lithotomy position and apply fundal
pressure. Answer: Insert two gloved fingers into the vagina and
apply upward pressure to the presenting part
◉ A nurse is caring for a client who is at 24 weeks of gestation and
has a suspected placental abruption. Which of the following
laboratory tests should the nurse expect the provider to prescribe?
1) Kleihauer-Betke test
2) progesterone serum level
3) L/S ratio
4) material alpha-fetoprotein. Answer: Kleihauer-Betke test
